Deep Dive Individual And Family Counseling Services Pllc - Medicare Mental Health Clinic in San Antonio, TX

Deep Dive Individual And Family Counseling Services Pllc is a medicare enrolled mental health clinic (Counselor - Mental Health) in San Antonio, Texas. The current practice location for Deep Dive Individual And Family Counseling Services Pllc is 7400 Blanco Rd Ste 250, San Antonio, Texas. For appointments, you can reach them via phone at (210) 643-4058. The mailing address for Deep Dive Individual And Family Counseling Services Pllc is 11300 Expo Blvd Apt 1010, San Antonio, Texas and phone number is (210) 643-4058.

Deep Dive Individual And Family Counseling Services Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1003445818. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (210) 643-4058.

Contact Information

Deep Dive Individual And Family Counseling Services Pllc
7400 Blanco Rd Ste 250
San Antonio
TX 78216-4368
(210) 643-4058
(866) 544-0326

Mental Health Clinic Profile

Full NameDeep Dive Individual And Family Counseling Services Pllc
SpecialityCounselor
Location7400 Blanco Rd Ste 250, San Antonio, Texas
Authorized Official Name and PositionShenna Dominique Fisher (LCSW/OWNER)
Authorized Official Contact2106434058
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Deep Dive Individual And Family Counseling Services Pllc
11300 Expo Blvd Apt 1010
San Antonio
TX 78230-1333

Ph: (210) 643-4058
Deep Dive Individual And Family Counseling Services Pllc
7400 Blanco Rd Ste 250
San Antonio
TX 78216-4368

Ph: (210) 643-4058

NPI Details:

NPI Number1003445818
Provider Enumeration Date04/03/2020
Last Update Date02/11/2023
Certification Date02/11/2023

Medicare PECOS Information:

Medicare PECOS PAC ID3072939719
Medicare Enrollment IDO20200812002573

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Medical Identifiers

Medical identifiers for Deep Dive Individual And Family Counseling Services Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003445818NPI-NPPES
1F6319MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Deep Dive Individual And Family Counseling Services Pllc acts as a billing entity for following providers:
Provider NameShenna D Fisher
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1295227304
PECOS PAC ID: 9335498526
Enrollment ID: I20180821003586

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